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Bilateral mini-thoracotomy off-pump Jarvik 2000 implantation in regional asymmetric paravertebral analgesia

Bottio, Tomaso; Bejko, Jonida; Guariento, Alvise; Tarzia, Vincenzo; Pittarello, Demetrio; Gerosa, Gino

Journal of Cardiovascular Medicine: February 2016 - Volume 17 - Issue 2 - p 160–164
doi: 10.2459/JCM.0000000000000191
Cardiac surgery

We describe the surgical technique and treatment of a 59-year-old male with cardiogenic shock, who underwent a minimally invasive off-pump ventricular assist device (VAD) implantation with the aid of paravertebral regional analgesia in bilateral mini-thoracotomies as first procedure described in the literature. He was extubated soon after the procedure, in the operating room, with the aim to reduce the right ventricle impairment. These issues are particularly true for patients suffering from pulmonary hypertension and disease, in whom the shortest time of postoperative intubation is fundamental to allow self-inotropic support and recovery of the right ventricle. We illustrate how a minimally invasive implant may improve the clinical outcomes of VAD patients shortening their return time to active life.

Department of Cardiology and Cardiovascular Surgery, University of Padova Medical School, Padova, Italy

Correspondence to Tomaso Bottio, MD, Cardiac surgery, Padova 35100, Italy Tel: +39 0498212408; fax: +39 0498212409; e-mail: tbottio@gmail.com

Received 26 March, 2014

Revised 1 July, 2014

Accepted 1 July, 2014

Search codes: Ventricular Assist Device, Paravertebral analgesia, Minimally invasive cardiac surgery

© 2016 Italian Federation of Cardiology. All rights reserved.